When discussing the idea of consolidating counties, we get this from liberals:

The presumption that consolidation automatically saves money, usually premised on a mistaken belief that fewer top administrators are needed, is a fallacy. Often the savings from the elimination of one position is easily devoured by problems of span of control, and lack of responsiveness.

The value of local accountability is not to be underestimated. When organizations are flat and the staff has a direct connection to the people served, there is more, not less innovation, as the people who deliver the services are more creative and understanding of their jobs.

Of course... when you talk about consolidating all of our health insurance into one gigantic plan controlled by an unelected 16 member board, somehow that's different.